Active NPI
Stephen M Bockhold, M.D.
- Family Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49675
- Practice address
- 767 Eustis St Ste 150
Saint Paul, MN 55114-0019 - Phone
- (612) 721-2491
- NPI assigned
- May 21, 2007
- Last updated
- Aug 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49675 | MN | Primary |
Addresses
Primary practice location
767 Eustis St Ste 150
Saint Paul, MN 55114-0019
Mailing address
767 Eustis St Ste 150
Saint Paul, MN 55114-0019
Phone (612) 721-2491
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16P73BO | Other | MN | BCBS |
| P00436607 | Other | RRMEDICARE PTAN | |
| 857913100 | Medicaid | MN | |
| 1174732952 | Other | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| International Falls Memorial Hospital Association | Current | Accepting new patients | |
| Accentcare Medical Group of Wisconsin, S.C. | Current | Accepting new patients | |
| Accentcare Medical Group of Minnesota, PC | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Wisconsin, LLC | Family Medicine | Current | Accepting new patients |
| International Falls Memorial Hospital Association | Current | Accepting new patients | |
| Community Memorial Hospital Association | Past | Accepting new patients |
Locations
405 W 3rd Ave N
Aurora, MN 55705
Phone (218) 229-3311
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
512 Skyline Blvd
Ste 1
Cloquet, MN 55720
Phone (218) 879-4641
330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
328 W Conan St
Ely, MN 55731
Phone (218) 365-3271
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481
767 Eustis St
Ste 150
Saint Paul, MN 55114
Phone (612) 721-2491
17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800
15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Saint Paul, MN
- NPI 1376387134
-
dba Rainy Lake Medical Center
- Critical Access Hospital
- International Falls, MN
- NPI 1528041183
-
dba Essentia Health Duluth Clinic
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
WI
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- West Allis, WI
- NPI 1275976979
-
- Critical Access Hospital
- Moose Lake, MN
- NPI 1154959880
-
dba Rainy Lake Pharmacy
- Pharmacy
- International Falls, MN
- NPI 1275284374
-
dba Essentia Health Hinckley Pharmacy
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
dba AccentCare Hospice & Palliative Care of Wisconsin
- Community Based Hospice Care Agency
- West Allis, WI
- NPI 1407853112
Family Medicine
-
dba Essentia Health Ashland Clinic
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
-
- Dialysis Equipment & Supplies (DME)
- Cloquet, MN
- NPI 1528103652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1174732952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 EUSTIS ST STE 150",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551140019",
"telephone_number": "612-721-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 EUSTIS ST STE 150",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551140019",
"telephone_number": "612-721-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKHOLD",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "49675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "16P73BO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE PTAN",
"identifier": "P00436607",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "857913100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1174732952",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.